| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,227.29 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $4,483.83 | $5,262.70 | $7,130.12 | |
Health Alliance Plan
| Facility | $989.35 | $2,056.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $3,640.00 | $6,327.00 |